SavedAdd your journal

Journals / Ağrı / 2018 / Cilt: 30 - Sayı: 4

Ultrasound guided superficial cervical plexus block versus greater auricular nerve block for postoperative tympanomastoid surgery pain: A prospective, randomized, single blind study

Ultrason eşliğinde uygulanan büyük aurikuler sinir bloğu ve yüzeyel servikal pleksus blokajının timpanomastoid cerrahisi sonrası analjezik etkinliklerinin karşılaştırılması: Prospektif, randomize, tek kör çalışma

Burcu METİN ÖKMEN
Korgün ÖKMEN
Journal
Ağrı
Pages
171–178
Publication Date
2022-10-11
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Postoperative pain was evaluated at the 2nd, 6th, 12nd, and 24th hours using theVisual Analogue Scale (VAS) and postoperative 6th, 12nd, and 24th hour follow-up results were evaluated to identify the quantityof tramadol use.Results: The VAS scores at all measures time were found to be no statistically significant difference between groups (p>0.05).The amounts of PCA tramadol consumption at all measures time were significantly lower in Group Y than in Group G (p

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objectives: The aim of the study was to investigate the effect of ultrasound guided superficial cervical plexus (SCP) blockversus greater auricular nerve (GAN) block for on postoperative tympanomastoid surgery analgesia.Methods: In this prospective, randomized, single-blind study, a total of 50 patients aged between 25 and 70 years, those whowere in the American Society of Anesthesiologists I-II class and underwent tympanomastoid surgery were included in thestudy.
📊
Key Findings & Data:Patients were randomized to either Group Y: intravenous patient-controlled analgesia tramadol (IV PCA) + SCP block;n=25 and Group G: IV PCA + GAN block; n=25.
💡
Conclusion & Impact:Postoperative pain was evaluated at the 2nd, 6th, 12nd, and 24th hours using theVisual Analogue Scale (VAS) and postoperative 6th, 12nd, and 24th hour follow-up results were evaluated to identify the quantityof tramadol use.Results: The VAS scores at all measures time were found to be no statistically significant difference between groups (p>0.05).The amounts of PCA tramadol consumption at all measures time were significantly lower in Group Y than in Group G (p
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objectives: The aim of the study was to investigate the effect of ultrasound guided superficial cervical plexus (SCP) blockversus greater auricular nerve (GAN) block for on postoperative tympanomastoid surgery analgesia.Methods: In this prospective, randomized, single-blind study, a total of 50 patients aged between 25 and 70 years, those whowere in the American Society of Anesthesiologists I-II class and underwent tympanomastoid surgery were included in thestudy. Patients were randomized to either Group Y: intravenous patient-controlled analgesia tramadol (IV PCA) + SCP block;n=25 and Group G: IV PCA + GAN block; n=25. Postoperative pain was evaluated at the 2nd, 6th, 12nd, and 24th hours using theVisual Analogue Scale (VAS) and postoperative 6th, 12nd, and 24th hour follow-up results were evaluated to identify the quantityof tramadol use.Results: The VAS scores at all measures time were found to be no statistically significant difference between groups (p>0.05).The amounts of PCA tramadol consumption at all measures time were significantly lower in Group Y than in Group G (p

Özet

Amaç: Bu çalışmanın amacı, postoperatif timpanomastoid cerrahisi analjezisi için ultrasonografi (US) eşliğinde yüzeyel servikal pleksus (YSP) blok ile büyük auriküler sinir (BAS) bloğunun etkinliklerini karşılaştırmaktı. Gereç ve Yöntem: Prospektif, randomize, tek kör çalışmada, Amerikan Anestezistler Derneği (ASA) I-II sınıfında olan ve timpanomastoid cerrahisi yapılan, 25-70 yaş arasındaki toplam 50 hasta çalışmaya dahil edildi. Hastalar Grup Y (n=25): intravenöz hasta kontrollü analjezik tramadol (IV PCA) + YSP bloğu ve Grup G (n=25): IV PCA + BAS bloğu olacak şekilde randomize edildi. Ameliyat sonrası ağrı 2., 6., 12. ve 24. saatlerde Vizüel Analog Skala (VAS) ile ve postoperatif 6., 12. ve 24. saat izlem sonuçları, tramadol kullanımının miktarını belirlemek için değerlendirildi. Bulgular: Bütün ölçüm zamanlarındaki VAS skorlarında gruplar arasında istatistiksel olarak anlamlı bir fark olmadığı bulundu (p>0.05). Tüm ölçüm zamanlarındaki PCA tramadol tüketim miktarları, Grup Y’de Grup G’ye göre anlamlı olarak daha düşüktü (p

🔖

Cite This Article

ÖKMEN, B. M., ÖKMEN, K. (2022). Ultrasound guided superficial cervical plexus block versus greater auricular nerve block for postoperative tympanomastoid surgery pain: A prospective, randomized, single blind study. Ağrı, Cilt: 30 - Sayı: 4, 171–178. https://ajindex.com/articles/430233

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (13)

  1. Chole RA, Sudhoff HH. Chronic Otitis Media, Mastoiditis and Petrositis. Otolaryngology Head and Neck Surgery, Vol. 4, Mosby year book. St. Louis; 1993. p.2823–31.
  2. Nadol JB, McKenna MJ. Surgery of the Ear and Temporal Bone. 2nd ed. Lippincott Williams & Wilkins; 2004. p.196–7.
  3. Gerber MJ, Mason JC, Lambert PR. Hearing results after primary cartilage tympanoplasty. Laryngoscope 2000;110(12):1994–9. Dornhoffer JL. Hearing results with cartilage tympanoplasty. Laryngoscope 1997;107(8):1094–9. Rawal N. Analgesia for day-case surgery. Br J Anaesth 2001;87(1):73–87.
  4. Cann C, Curran J, Milner T, Ho B. Unwanted effects of morphine-6-glucoronide and morphine. Anaesthesia 2002;57(12):1200–3.
  5. Singh T, Shah N, Patel C, Upadhayaya RM. A comparative study of prophylactic ondansetron versus palonosetron for post operative nausea and vomiting inmiddle ear surgeries. IJBAR 2014;5:619–22.
  6. Stadler M, Bardiau F, Seidel L, Albert A, Boogaerts JG. Difference in risk factors for postoperative nausea and vomiting. Anesthesiology 2003;98(1):46–52.
  7. Suresh S, Barcelona SL, Young NM, Heffner CL, Coté CJ. Does a preemptive block of the great auricular nerve improvepostoperative analgesia in children undergoing tympanomastoidsurgery? Anesth Analg 2004;98(2):330–3.
  8. Sarmento KM Jr, Tomita S. Retroauricular tympanoplasty and tympanomastoidectomy under local anesthesia and sedation. Acta Otolaryngol 2009;129(7):726–8.
  9. Cregg N, Conway F, Casey W. Analgesia after otoplasty: regional nerve blockade vs local anaesthetic infiltration of the ear. Can J Anaesth 1996;43(2):141–7.
  10. Swain SK, Pradhan C, Mohanty S, Sahu MC. Comparative study between selective nerve blocks and the intravenous opioids in mastoid surgery. Ejentas 2017;18(2):121–5.
  11. Arbona FL, Khabiri B, Norton JA. Ultrasound-guided regional anesthesia: a practical approach to peripheral nerve blocks and perineural catheters. Cambridge University Press; 2011. Gray AT. Atlas of ultrasound-guided regional anesthesia. WB Saunders Co; 2009.
  12. Ritchie MK, Wilson CA, Grose BW, Ranganathan P, Howell SM, Ellison MB. Ultrasound-Guided Greater Auricular Nerve Block as Sole Anesthetic for Ear Surgery. Clin Pract 201;6(2):856. Hadzic A. Ultrasound-guided cervical plexus block. In: Hadzic’s peripheral nerve blocks and anatomy for ultrasound guided regional anesthesia. 2nd ed. New York: McGraw Hill; 2012. p.345–51.
  13. Suresh S, Barcelona SL, Young NM, Seligman I, Heffner CL, Coté CJ. Postoperative pain relief in children undergoing tympanomastoidsurgery: is a r